Form FNS-798A ADDENDUM TO WIC FINANCIAL MANGEMENT AND PARTICIPATION RE

WIC Financial Management and Participation Report with Addendum

FNS 798A revision 2008 mock-up Attach 2.xls

WIC Financial Management and Participation Report with Addendum

OMB: 0584-0045

Document [ppt]
Download: ppt | pdf











Attachment 2
FORM APPROVED OMB NO. 0584-0045
U.S. DEPARTMENT OF AGRICULTURE - Food and Nutrition Service
ADDENDUM TO WIC FINANCIAL MANAGEMENT AND PARTICIPATION REPORT - NSA EXPENDITURES
Public reporting burden for this collection of information is estimated to average 1.7 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to: U.S. Department of Agriculture, Food and Nutrition Services, Office of Research, Nutrition and Analysis, Alexandria, VA 22302 (0584-0054). Do not return the completed form to this address.
1. STATE AGENCY NAME

    
2. 7 - DIGIT CODE
    
3. PERIOD COVERED

    
4. FISCAL YEAR
    
STATE LEVEL EXPENDITURES LOCAL LEVEL EXPENDITURES
5. FUNCTIONS/
    ACTIVITIES
01
 GENERAL
ADMIN
02
 CLIENT
SERVICES
03
 NUTRITION EDUCATION
04
 BREAST
FEEDING
05
 GENERAL
ADMIN
06
 CLIENT
SERVICES
07
 NUTRITION EDUCATION
08
 BREAST
FEEDING
09
 
TOTAL
a. TOTAL FEDERAL
    OUTLAYS









b. TOTAL STATE
    OUTLAYS
    (OPTIONAL)









6. INDIRECT EXPENSE AMOUNT:
Signature of Certifying Official








Name and Title








Date Report Submitted Telephone Number
(Include Area Code)








REMARKS:
STAMP/CERTIFY DATE
LAST UPDATED BY
LAST UPDATED ON
FORM FNS-798 (7-02) Printed on 05/12/2008 10:12:24 AM
FPRS Electronic Version Page 1 of 1
File Typeapplication/vnd.ms-office
Last Modified ByRgreene
File Modified2008-07-15
File Created2008-05-12

© 2024 OMB.report | Privacy Policy